JACQUELINE A DECOSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086689

License Status

NOT RENEWED

Business

First Name

JACQUELINE A

Last Name

DECOSTA

Business Name

JACQUELINE A DECOSTA

Original Issue Date

05/14/1988

Effective Date

05/14/1988

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005